Colestock, Shannon

Colestock, Shannon is an sole proprietor health care provider with primary practice located at 128 Cross Keys Rd , Berlin NJ 08009-9201. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Colestock, Shannon can be contacted via phone (856) 210-1511.

Contact Information

Primary practice address
128 Cross Keys Rd Berlin NJ 08009-9201
Phone: (856) 210-1511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1255596243
LBN Legal business name Colestock, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2008
Last updated Jul 19th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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